How to address skeletal underbite?
 Encyclopedic 
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Underbites manifest in various forms, with skeletal underbites being a more severe type. Beyond causing dental malocclusion, they also impact facial contours. Therefore, prompt orthodontic intervention is essential for skeletal underbites to ensure complete correction and avoid delayed treatment.Beyond anterior crossbite, it features significant overbite, molars in mesial contact, and jaw deformities: elongated mandibular body, short mandibular ramus, obtuse mandibular angle, underdeveloped maxilla, prominent forehead, immobile mandibular retraction, concave facial profile, and occasionally open bite.
Skeletal underbite refers to excessive mandibular growth. Orthodontic treatment alone yields poor results, necessitating combined orthognathic surgery and orthodontic therapy. Surgical correction for skeletal underbite should be performed after adulthood, specifically after age 22 (when mandibular growth ceases). At your current age, the mandible may still undergo minor growth. If required, surgery cannot be performed yet.
Before undergoing corrective surgery for skeletal underbite, the doctor must design the postoperative outcome based on individual circumstances. Using advanced microsurgical instruments, the surgeon makes a micro-incision inside the mouth and operates on the alveolar bone to reposition the teeth, restoring normal occlusion.
Skeletal underbite requires correction through oral and maxillofacial surgery. Before proceeding, the surgeon must design a personalized post-operative outcome plan based on individual circumstances. Depending on the case, the procedure may incorporate techniques to reduce the prominence of the lower jawbone.This prevents the chin from appearing overly prominent after surgery, achieving the most aesthetically pleasing profile curve.
Treatment for skeletal underbite requires selecting the appropriate surgical plan based on individual circumstances. Alongside correcting the skeletal underbite, the jawbone can be reduced. This simultaneously improves the skeletal underbite and enhances facial contours, resulting in not only straight teeth but also more refined facial lines.
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